OrganizationActive
Carolinas Medical Center
NPI 1174964621 · Physical Medicine & Rehabilitation Physician · Concord, NC
Provider details
- NPI number
- 1174964621
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Carolinas Medical Center
- Organization subpart
- Yes
- Authorized official
- Dennie Underwood, Vp/Operations, Edu & Research(704) 355-3147
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
487 Lake Concord Rd Ne
Concord, NC 28025-2934
Phone: (704) 446-0887
Street-level locationGet directions
Mailing address
Po Box 601372
Charlotte, NC 28260-1372
Other names (DBA / former)
- Doing business as
- Carolinas Rehabilitation Northeast Physician Clinic
Registry dates
- Enumerated
- 2013-07-12
- Last updated
- 2013-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.